Dr. Stephen Legrande Vance, MD
- Medicare services, 2024
- 4,029
- Medicare patients, 2024
- 1,085
- Part D claims, 2024
- 1,619
- MIPS score, 2024
- 85
- Hospital affiliations
- 3
- Practice address
- 1600 N Coalter St Suite 19 Suite 19, Staunton, VA 24401-2566
- Practice phone
- Call (540) 885-4500
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Shenandoah Dermatology
Dermatology practice · Staunton, Virginia
Find Dr. Vance's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Stephen Legrande Vance is a mohs-micrographic surgery physician in Staunton, Virginia
Dr. Vance practices at Shenandoah Dermatology in Staunton, Virginia.
Dr. Vance's NPI, 1821403247, was assigned on June 24, 2014. Dr. Vance graduated from University of North Carolina at Chapel Hill School of Medicine in 2014. Dr. Vance holds North Carolina license 2019-00658.
- NPI
- 1821403247NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2769601384
- NPI enumeration date
- June 24, 2014
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (540) 885-4500
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 38
- Medical school graduation
- 2014
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Stephen Legrande Vance practices at Shenandoah Dermatology in Staunton, Virginia
Dr. Vance's primary practice is Shenandoah Dermatology, at 1600 N Coalter St Suite 19 Suite 19, Staunton, VA 24401-2566. The practice phone is (540) 885-4500.
- Shenandoah Dermatology1600 N Coalter St Suite 19 Suite 19, Staunton, VA 24401-2566Phone(540) 885-4500
Source: Dmand AI Affiliation Data
Dr. Stephen Legrande Vance is affiliated with 5 sites of care and 2 medical groups
Dr. Vance's primary practice is Shenandoah Dermatology in Staunton, Virginia. Dr. Vance is also affiliated with University Medical Center. The medical group on file is Shenandoah Dermatology & Aesthetics. Dmand AI also links Dr. Vance to 2 more hospitals, 1 group practice or clinic and 1 medical group, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Stephen Legrande Vance's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Vance practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Shenandoah Dermatology | Available with a free account |
| +4 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Stephen Legrande Vance is one of 29 mohs-micrographic surgery physicians in Virginia
Mohs-micrographic surgery is Dr. Vance's primary specialty in the NPI Registry, under taxonomy code 207ND0101X. Dr. Vance is licensed in North Carolina.
Specialties and state licenses
- Mohs-micrographic surgery, North CarolinaPrimary
Mohs-micrographic surgery physicians near Dr. Vance
Counts of mohs-micrographic surgery physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Stephen Legrande Vance billed Medicare for 4,029 services in 2024
CMS data shows 4,029 Medicare services from Dr. Vance across 30 procedure codes in 2024, for 1,085 Medicare patients. Medicare paid $1,014,466 for them. Every service was in an office.
Dr. Vance's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Surgery
- 2023: 2,2432024: 2,53613%
- Office and hospital visits
- 2023: 1,2582024: 1,42613%
- Lab and pathology
- 2023: 272024: 67148%
Dr. Vance compared with the Virginia median for mohs-micrographic surgery physicians, 2024
- Dr. Vance
- Virginia median
- Medicare services
- 4,029vs 2,76846% above
- Medicare patients
- 1,085vs 59682% above
- Part D claims
- 1,593vs 2297.0 times
Medians across 27 mohs-micrographic surgery physicians in Virginia with Dmand AI profiles that report each measure.
Dr. Vance's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Vance and other mohs-micrographic surgery physicians in Virginia.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Stephen Legrande Vance treated 1,085 Medicare patients in 2024, average age 78
CMS counts 1,085 Medicare patients who saw Dr. Vance in 2024. The largest group is 75 to 84, with 496 patients. 75% of them have high cholesterol, and 73% have high blood pressure. 3% are also on Medicaid. Their average risk score is 1.11, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Vance's median patient age at 77, with 48% women.
Dr. Vance's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Vance's Medicare patients by sex, 2024
- Women45142%
- Men63458%
Chronic conditions among Dr. Vance's Medicare patients, 2024
- High cholesterol75%
- High blood pressure73%
- Arthritis41%
- Chronic kidney disease26%
- Diabetes24%
- Ischemic heart disease24%
- Atrial fibrillation20%
- Cancer17%
Share of Medicare patients with each condition. A patient can have several.
Dr. Vance's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 77
Patient panel by sex, all payers
- Women48%
- Men52%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Stephen Legrande Vance wrote 1,619 Medicare Part D claims in 2024
In 2024, Dr. Vance wrote 1,619 Medicare Part D claims for 988 patients. 100% of them were for generic drugs. CMS names the drug for 1,593 of them, across 5 drugs with 11 or more claims each, at $14,159 in total drug cost. In 2023, CMS named 1,269 claims across 5 drugs.
Dr. Vance's Part D claims by kind of drug, 2024
- Generic1,617 claims100%
- Brand-name and other2 claims0%
Dr. Vance's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Vance's Part D claims, 2024
- Opioids2%33 of 1,619 claims
- Antibiotics54%870 of 1,619 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1,2692024: 1,59326%
Drugs named by CMS: 5 in 2024, 5 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Stephen Legrande Vance scored 85 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Dr. Vance for performance year 2024, reported as part of a group. Dr. Vance accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 217 procedures of melanoma (skin cancer) excision by Dr. Vance, more than 97% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Vance's MIPS scores, performance year 2024
- 85of 100Final score
- 81of 100Quality
- 40of 100Improvement Activities
- 75of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Vance ranks in Medicare procedure volume
- Removal of skin cancer
- 94th percentile1,391 procedures
- Melanoma (skin cancer) excision
- 97th percentile217 procedures
- Skin biopsy
- 65th percentile29 procedures
- Removal of skin lesions
- 68th percentile28 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Stephen Legrande Vance received $1,493 in industry payments from 2016 to 2025
CMS Open Payments shows 21 general payments to Dr. Vance from 10 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Actelion Pharmaceuticals US, Inc. paid the most, $325.
General payments to Dr. Vance by program year, 2016 to 2025
General payments to Dr. Vance by kind, 2016 to 2025
- Food and beverage$1,47899%
- Education$151%
Companies that paid Dr. Vance the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Stephen Legrande Vance graduated from University of North Carolina at Chapel Hill School of Medicine
Dr. Vance graduated from University of North Carolina at Chapel Hill School of Medicine in 2014.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Stephen Legrande Vance's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Stephen Legrande Vance
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What is Dr. Stephen Legrande Vance's NPI number?
Dr. Stephen Legrande Vance's NPI number is 1821403247. It was assigned on June 24, 2014, and it is active in the NPI Registry.
What kind of doctor is Dr. Stephen Legrande Vance?
Dr. Stephen Legrande Vance is a mohs-micrographic surgery physician in Staunton, Virginia. The primary specialty in the NPI Registry is MOHS-Micrographic Surgery Physician (taxonomy code 207ND0101X).
Where does Dr. Stephen Legrande Vance practice?
Dr. Vance practices at 1600 N Coalter St Suite 19 Suite 19, Staunton, VA 24401-2566. Dr. Vance's primary practice is Shenandoah Dermatology in Staunton, Virginia. Dmand AI also links Dr. Vance to 2 hospitals, 1 group practice or clinic and 1 medical group.
What is Dr. Stephen Legrande Vance's office phone number?
The practice phone on file for Dr. Vance is (540) 885-4500.
What is Dr. Stephen Legrande Vance's medical license number?
Dr. Vance holds North Carolina license 2019-00658.
Which hospitals is Dr. Stephen Legrande Vance affiliated with?
Dr. Vance is affiliated with University Medical Center. Dmand AI links Dr. Vance to 2 more hospitals.
What medical group is Dr. Stephen Legrande Vance part of?
Dr. Vance is linked to Shenandoah Dermatology & Aesthetics. Dmand AI links Dr. Vance to 1 more medical group.
Does Dr. Stephen Legrande Vance accept Medicare?
Yes. CMS data shows Dr. Vance billed Medicare for 4,029 services in 2024, and Dr. Vance accepts Medicare assignment.
What is Dr. Stephen Legrande Vance's MIPS score?
Dr. Vance's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.
How many Medicare patients does Dr. Stephen Legrande Vance see?
CMS counts 1,085 Medicare patients who saw Dr. Vance in 2024, with an average age of 78.
Show 5 more questionsShow fewer questions
What services does Dr. Stephen Legrande Vance bill to Medicare?
In 2024, Dr. Vance's most billed Medicare services were surgery: skin and soft tissue (17311), office visit, established patient (99213) and surgery: skin and soft tissue (17312).
Where did Dr. Stephen Legrande Vance go to medical school?
Dr. Vance graduated from University of North Carolina at Chapel Hill School of Medicine in 2014.
What drugs does Dr. Stephen Legrande Vance prescribe most?
In 2024 Medicare Part D data, Dr. Vance's most prescribed drugs by claims were Doxycycline Hyclate, Mupirocin and Cephalexin.
Has Dr. Stephen Legrande Vance received payments from drug or device companies?
CMS Open Payments shows $1,493 in general payments to Dr. Vance from 10 companies from 2016 to 2025. The largest total came from Actelion Pharmaceuticals US, Inc.
How long has Dr. Stephen Legrande Vance been practicing?
Dr. Vance graduated from medical school in 2014, 12 years ago.
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